Aanmelding - Kinderopvang het Buitenkind

EN | NL

Registration for Kinderopvang het Buitenkind

Requested childcare

U neemt bij ons altijd hele dagen af (07.30 - 18.30). Wilt u bij de toelichting invullen welke tijden u uw kind/kinderen wenst te brengen en te halen. Wij kunnen ons personeel hier dan zorgvuldig op inplannen.

Startdate*
Enddate*

Full day childcare (KDV) Monday Tuesday Wednesday Thursday Friday

Days and full vacationdays Monday Tuesday Wednesday Thursday Friday

Remark

Child

You will be able to register another child after submitting the first registration

First name*
Last name prefix
Last name*
Phonenumber (Incase of emergency)

Date of birth*
Estimated date of birth / Not yet born
Gender
Citizen number (BSN)

Allergies
Medication
Medical notes
Health insurance
Health insurance policy number
May be picked-up by

Consent questions

Please fill with Yes or No to what applies

Mag uw kind herkenbaar op foto's (social media)
Mag uw kind onherkenbaar op foto's (social media)
Mag uw kind ingebakerd worden?
Mag uw kind op de buik slapen
Mag uw kind mee op uitstapje (bakker, winkel, wandelen)
Mag uw kind onder begeleiding in aanraking komen met de diertjes (Geitjes etc)
Mag uw kind buiten slapen?
BSO: Mag uw kind zelfstandig in de wei spelen? (vanaf 8 jaar)

Parent/Guardian 1 (Who will receive the invoices)

Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
Mobile phone number*
Phonenumber (work)
E-mail address*
IBAN*
BIC/SWIFT code (if applicable)

Parent/Guardian 2

Initials*
Firstname*
Last name prefix
Last name*
Date of birth*
If you do not enter an address here, the address of parent/guardian 1 will be automatically taken over.
Streetname*
House number*
House number extension
Postalcode (numbers)*
Postalcode (characters)*
City*
Country*
Mobile phone number*
Phonenumber (work)
E-mail address
BIC/SWIFT code (if applicable)

Emergency person

Title*
First name*
Last name prefix
Last name*
Relation*

Mobilephone number*
Phone number (work)

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